Angela Jackson in Plymouth Meeting - Licensed Practical Nurse

Angela Jackson - NPI 1366630469

Angela Jackson is a Licensed Practical Nurse in Plymouth Meeting, Pennsylvania. Angela Jackson practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Angela Jackson is 1366630469. The last update date is 2007-10-15.

Angela Jackson's current location address is 2250 Hickory Rd, Plymouth Meeting, Pennsylvania. You can contact this provider via phone number 6108341122 and fax number 6108251604. The mailing address for Angela Jackson is 2250 Hickory Rd, Plymouth Meeting, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Angela Jackson
Address 2250 Hickory Rd, Plymouth Meeting, Pennsylvania
Phone Number 6108341122
Fax Number 6108251604
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1366630469
Provider Enumeration Date 2007-10-15
Last Updated Date 2007-10-15

Provider Mailing Address Detail

Address 2250 Hickory Rd
City Plymouth Meeting
State Pennsylvania (PA)
Post Code 194621047
Phone Number 6108341122
Fax Number 6108251604

Provider's Primary Taxonomy Detail

Speciality Licensed Practical Nurse
Taxonomy 164W00000X
Licence No PN266846
Definition:
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r

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FAQs about Angela Jackson

What is the Angela Jackson's unique identification number?

The Angela Jackson has been assigned the NPI (National Provider Identifier) Number 1366630469 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Where is the Angela Jackson located?

The Angela Jackson is located at 2250 Hickory Rd, Plymouth Meeting, PA 194621047.

What is Angela Jackson's specialized field of practice, and what is the corresponding taxonomy classification code?

The Angela Jackson's area of specialization is Licensed Practical Nurse, and the corresponding taxonomy code that categorizes this field of practice is 164W00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1366630469 to Angela Jackson?

The Centers for Medicare & Medicaid Services originally issued the 1366630469 to Angela Jackson on 2007-10-15.

As of what date were the Angela Jackson's details last updated?

The information pertaining to the Angela Jackson, including its address, specialty, and other details, was most recently updated on 2007-10-15.

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